Using a personal, anonymous questionnaire developed ad hoc, we tried to document the role, the problems and the activities of Italian anaesthetists in postoperative pain control.
A random selection - stratified by region - was made from a list of 971 hospitals.
The final sample was made up of 395 departments of anaesthesia and intensive care from 369 hospitals.
The completeness and consistency of each questionnaire were assessed.
The response rate achieved was 78.9% (312 centres in 293 hospitals) with 2435 evaluable questionnaires corresponding to 30% of all Italian anaesthesia departments and 25% of Italian anaesthetists.
Only 15.2% of anaesthetists are completely responsible for the postoperative analgesia (POA) (prescriptions and evaluations) and an established attitude for POA (protocols/guidelines) exists in 18 departments only. 60% of anaesthetists use routinely the intramuscular route, 55.2% the intravenous route (infusion plus bolus), and 23.7% the spinal/epidural route.
Only 6.2% of the anaesthetists use the patient-controlled analgesia system.
Nonsteroidal anti-inflammatory drugs (NSAIDs) are the most commonly used agents (47% NSAID vs 37.9% opioids ; NSAID-opioid association 14.7%). A local anesthetics-opioids association is preferred for the spinal/epidural route (15.1%) only (local anaesthetic 4.9% only ; opioids alone 2.7%). (...)
Mots-clés Pascal : Douleur, Postopératoire, Chimiothérapie, Anesthésique local, Analgésique, Anesthésiste, Personnel sanitaire, Homme, Comportement, Pratique professionnelle, Attitude, Traitement, Italie, Europe, Enquête
Mots-clés Pascal anglais : Pain, Postoperative, Chemotherapy, Local anesthetic, Analgesic, Anesthesiologist, Health staff, Human, Behavior, Professional practice, Attitude, Treatment, Italy, Europe, Survey
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0303815
Code Inist : 002B27A03. Création : 15/07/1997.